Chronic Mechanical Neck PainNCT05845853
Scapular Motor Control for Chronic Mechanical Neck Pain
A study testing scapular PNF technique in people with Chronic Mechanical Neck Pain, run by Cairo University at 2 sites in Egypt.
Trial summary
The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain. Read more about this study
- Who is it for?
- Ages 20 to 45 years
- Conditions the study is for
- Chronic Mechanical Neck Pain
- What is being tested?
- scapular PNF technique
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 56 participants
- Where
- 2 sitesEgypt
- Study dates
- 1 May 2023to Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- -The subject will be referred from orthopedic surgeon with diagnosis of CMNP.
- Subjects with CMNP of more than 3 months with age range between 18 and 45 years
- Subjects having a baseline NDI score of at least 20% (10 points)
- At least 3/10 pain intensity on VAS
Who cannot join
- Spinal canal stenosis.
- Traumatic injury to the cervical spine.
- Previous surgery related to cervical spine.
- Hypermobility of the cervical spine,
- Any red flags e.g. cervical instability, history of cancer, long use of corticosteroids.
- Presence of an inflammatory rheumatologic disease,
Trial locations and contacts
2 sites in 1 country.
mohammed abdelmaged contact
Egypt2 sites, 2 recruiting
- Recruiting
Tala Central Hospital
Tala, Munofia
mohammed mostafa, second, 01061157728, mohammedabdelbary24@gmail.com
- Not yet recruiting
Tala Central Hospital
Tala
About this study
Official title: Effect of Scapular Motor Control Exercise in Patient With Chronic Mechanical Neck Pain
The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.
Read the detailed description
Chronic mechanical neck pain (CMNP) is defined as generalized neck and/ or shoulder pain for more than 3 months with symptoms provoked by neck movement, neck postures, or palpation of the cervical muscles .
regional interdependence (RI) is defined as the concept that a patient's primary musculoskeletal symptom(s) may be directly or indirectly related or influenced by impairments from various body regions and systems regardless of proximity to the primary symptom(s)'.
Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain the structural connectivity of the cervical spine and scaopulothorathic muscles . The bones and muscles of the cervical spine and the shoulders are connected to each other mechanically, thus a continuously applied mechanical load on the shoulders directly increases the load on the cervical region, which may cause joint and ligament pain Scapular malalignment can contribute to prolonged compressive loading of the posterior cervical structures .
It has been suggested that abnormal joint stress affects the firing of cervical afferents, leading to changes in proprioceptive function. Moreover, pain leads to changes in motor control . we believe that scapular motor control exercises using PNF technique may help to restore normal alignment and reverse this vicious circle PNF Technique is based on movement patterns to facilitate and correct sensory-motor function it has been suggested that PNF correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and desires to improve the strength of muscles. PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.
- Conditions
- Chronic Mechanical Neck Pain
- Being tested
- scapular PNF technique
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
scapular PNF techniqueOther
PNF Technique is based on movement patterns to facilitate and correct sensory-motor function,then correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and improve the strength of muscles.
PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .
| Study group | Role | What they receive |
|---|---|---|
| interventinal group | Experimental | 28 subject will receive a program of scapular motor control exercises using PNF technique in addition to the conventional treatment for 18 sessions (3 sessions per week for six weeks) Receives: Other: scapular PNF technique |
| control group | No intervention | 28 subject will receive conventional physical therapy program (heat-TENS) for 18 sessions (3 sessions per week for six weeks) |
What is being measured
The primary outcome is the main question the study is designed to answer.
change in cervical pain
by using the Arabic version of Numeric pain rating scale , ranging from 0 ("no pain") to 10 ("worst pain imaginable")
Measured: one week after end of treatment
change in neck function
by using the Arabic version of neck disability index that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50.
Measured: one week after end of treatment
change in proprioceptive inputs of cervical
Bubble Inclinometer will be used to assess proprioceptive inputs of cervical
- flexion - extension
- right side bending - left side bending
- cervical right rotate - cervical left rotation
Measured: one week after end of treatment
change in muscle strength
Hand-held dynamometer will be used to assess muscle strength
- upper trapezius - middle trapezius
- lower trapezius - serratus anterior
Measured: one week after end of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 May 2023
- Study start1 May 2023 (estimated)
- Primary completionMay 2024 (estimated)
- Study completionJun 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Mechanical Neck PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- This will be a double blinded, randomized, controlled, pre-post test clinical trial
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 56 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Aisha Said ABDEL Raouf Agoor, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05845853
- Sponsor's protocol ID
- motor control in neck pain
- Status last verified
- May 2023
- First submitted
- 25 Mar 2023
- Last updated
- 6 May 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 May 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Scapular Motor Control Exercise in Patient With Chronic Mechanical Neck Pain
- ClinicalTrials.gov ID
- NCT05845853
- Acronym / sponsor ID
- motor control in neck pain
- Conditions
- Chronic Mechanical Neck Pain
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 56 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 1 May 2023 (estimated)
- Primary completion
- May 2024 (estimated)
- Study completion
- Jun 2024 (estimated)
- First posted
- 6 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.
Detailed description
Chronic mechanical neck pain (CMNP) is defined as generalized neck and/ or shoulder pain for more than 3 months with symptoms provoked by neck movement, neck postures, or palpation of the cervical muscles .
regional interdependence (RI) is defined as the concept that a patient's primary musculoskeletal symptom(s) may be directly or indirectly related or influenced by impairments from various body regions and systems regardless of proximity to the primary symptom(s)'.
Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain the structural connectivity of the cervical spine and scaopulothorathic muscles . The bones and muscles of the cervical spine and the shoulders are connected to each other mechanically, thus a continuously applied mechanical load on the shoulders directly increases the load on the cervical region, which may cause joint and ligament pain Scapular malalignment can contribute to prolonged compressive loading of the posterior cervical structures .
It has been suggested that abnormal joint stress affects the firing of cervical afferents, leading to changes in proprioceptive function. Moreover, pain leads to changes in motor control . we believe that scapular motor control exercises using PNF technique may help to restore normal alignment and reverse this vicious circle PNF Technique is based on movement patterns to facilitate and correct sensory-motor function it has been suggested that PNF correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and desires to improve the strength of muscles. PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
- Model description
- This will be a double blinded, randomized, controlled, pre-post test clinical trial
| Arm | Type | Receives |
|---|---|---|
| interventinal group | Experimental | Other: scapular PNF technique28 subject will receive a program of scapular motor control exercises using PNF technique in addition to the conventional treatment for 18 sessions (3 sessions per week for six weeks) |
| control group | No intervention | –28 subject will receive conventional physical therapy program (heat-TENS) for 18 sessions (3 sessions per week for six weeks) |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- -The subject will be referred from orthopedic surgeon with diagnosis of CMNP.
- Subjects with CMNP of more than 3 months with age range between 18 and 45 years
- Subjects having a baseline NDI score of at least 20% (10 points)
- At least 3/10 pain intensity on VAS
Key exclusion criteria (6 listed)
- Spinal canal stenosis.
- Traumatic injury to the cervical spine.
- Previous surgery related to cervical spine.
- Hypermobility of the cervical spine,
- Any red flags e.g. cervical instability, history of cancer, long use of corticosteroids.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| scapular PNF techniquePNF Technique is based on movement patterns to facilitate and correct sensory-motor function,then correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and improve the strength of muscles. PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position . | Other | interventinal group |
Primary outcome
change in cervical pain
Time frame: one week after end of treatment
by using the Arabic version of Numeric pain rating scale , ranging from 0 ("no pain") to 10 ("worst pain imaginable")
change in neck function
Time frame: one week after end of treatment
by using the Arabic version of neck disability index that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50.
change in proprioceptive inputs of cervical
Time frame: one week after end of treatment
Bubble Inclinometer will be used to assess proprioceptive inputs of cervical * flexion - extension * right side bending - left side bending * cervical right rotate - cervical left rotation
change in muscle strength
Time frame: one week after end of treatment
Hand-held dynamometer will be used to assess muscle strength * upper trapezius - middle trapezius * lower trapezius - serratus anterior
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 May 2023.
- Bansal, R., \& Paul, M. (2020). Effectiveness of Motor Control Therapeutic Exercise Vs. Proprioceptive Neuromuscular Facilitation in Subjects With Cervical Spondylosis on Pain and Functional Disability. International Journal of Physiotherapy and ResearcLink provided by the sponsor.
- Celenay, S. T., Kaya, D. O., \& Akbayrak, T. (2016). Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Manual Therapy, 21, 144-150.Link provided by the sponsor.
- Ha, S. min, Kwon, O. yun, Yi, C. hwi, Jeon, H. seon, \& Lee, W. hwee. (2011). Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. ManuLink provided by the sponsor.
- 25\. Ijspeert, J., Kerstens, H. C. J. W., Janssen, R. M. J., Geurts, A. C. H., Van Alfen, N., \& Groothuis, J. T. (2019). Validity and reliability of serratus anterior hand held dynamometry. BMC Musculoskeletal Disorders, 20(1), 1-8.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
mohammed abdelmaged contact
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing scapular PNF technique in people with Chronic Mechanical Neck Pain, run by Cairo University at 2 sites in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 6 May 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Aisha said, master (01061157728, aishasaid1960@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
change in cervical pain (time frame: one week after end of treatment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2023.